This provider's $4.1M in total Medicare payments ranks in the 99th percentile of Pathology providers nationally.
Medicare payments to this provider grew 206% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 328% in 2015
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $185.41 | $62.22 | 2.98x | $123.19 | $120.2K | 2.3K | 2.3K |
| 2015 | $302.05 | $109.21 | 2.77x | $192.84 | $514.4K | 3.1K | 2.9K |
| 2016 | $304.38 | $111.84 | 2.72x | $192.54 | $442.5K | 3.1K | 2.9K |
| 2017 | $291.73 | $107.53 | 2.71x | $184.20 | $512.1K | 3.5K | 3.3K |
| 2018 | $320.15 | $113.23 | 2.83x | $206.92 | $500.1K | 3.7K | 3.5K |
| 2019 | $314.95 | $110.61 | 2.85x | $204.34 | $540.3K | 4.0K | 3.8K |
| 2020 | $374.27 | $129.47 | 2.89x | $244.80 | $371.1K | 2.8K | 2.7K |
| 2021 | $339.84 | $110.15 | 3.09x | $229.69 | $364.1K | 2.8K | 2.7K |
| 2022 | $370.44 | $125.40 | 2.95x | $245.04 | $347.6K | 2.9K | 2.8K |
| 2023 | $261.79 | $86.09 | 3.04x | $175.70 | $368.4K | 3.2K | 3.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0416 | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method, 10-20 specimens | 5.9K | $1.8M | $298.95 | 1.93x |
| 88121 | Cell examination of urine | 3.1K | $1.1M | $346.58 | 2.91x |
| 88112 | Cell examination of specimen | 12.0K | $539.9K | $45.09 | 7.80x |
| 88344 | Special stained specimen slides to examine tissue | 2.0K | $230.9K | $114.99 | 2.02x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 4.5K | $190.3K | $42.65 | 5.29x |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 456 | $70.7K | $155.01 | 3.00x |
| 88342 | Tissue or cell analysis by immunologic technique | 943 | $63.3K | $67.14 | 3.15x |
| 88120 | Cell examination of urine | 130 | $57.5K | $442.28 | 2.93x |
| 88341 | Special stained specimen slides to examine tissue | 360 | $20.4K | $56.67 | 2.05x |
| 88309 | Pathology examination of tissue using a microscope, high complexity | 112 | $12.7K | $113.17 | 3.42x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 192 | $7.0K | $36.46 | 3.91x |
| 88360 | Microscopic genetic analysis of tumor | 171 | $6.8K | $39.57 | 3.94x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 162 | $6.7K | $41.12 | 2.52x |
| G0124 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician | 233 | $6.3K | $27.11 | 1.95x |
| G0145 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision | 180 | $5.6K | $31.13 | 3.02x |
| 87624 | Detection test for human papillomavirus (hpv) | 102 | $4.3K | $42.12 | 2.61x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 200 | $2.6K | $13.07 | 5.48x |
| 88346 | Antibody evaluation | 36 | $2.4K | $67.85 | 3.80x |
| 88374 | Microscopic genetic examination using computer-assisted technology | 70 | $2.4K | $34.63 | 2.57x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 115 | $2.3K | $20.27 | 3.19x |
This provider submits charges 3.2 times higher than what Medicare actually pays.
A markup ratio of 3.2x means for every $100 Medicare pays, this provider initially charges $320. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Pathology providers in TN for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Richard Kinsey, MD | Memphis, TN | $40.6M | ✓ Clear |
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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